Caesarean scar pregnancy, which is one of a rare form of ectopic pregnancy, more frequently emerges with increased caesarean rates. Early diagnosis and treatment is essential. It can cause life-threatening complications such as uterine rupture and hemorrhage in the following weeks of pregnancy. The Standard treatment method has not been determined yet for caesarean scar pregnancy. Treatment should be planned taking into consideration with the patient's vital signs, desire for fertility, treatment preference and the state of anxiety. In this case, a 7-week caesarean scar pregnancy who refuses to have a surgery was discussed for successful treatment with multidose methotrexate protocol because of high level of ß-HCG and stable hemodynamics.
Keywords: Ectopic pregnancy, caesarean section, methotrexate therapy